Journal of Advanced Nursing最新文献

英文中文

Intergenerational Influence on Hypertension Prevention and Management: A Discursive Paper. 代际影响高血压的预防和管理：一篇论文。

IF 3.4 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-05 DOI: 10.1111/jan.70528

Brenda Owusu, Diana Baptiste, Zaily Santiesteban, Regine Pierre-Antoine, Caroline Elistin, Desiree Simon, Judith Juste, Neslihan Yorukoglu, Patricia Fletcher, Quernande Wells, Balkys Bivins

Background: Hypertension remains a critical health disparity among Black older adults, driven by factors such as socioeconomic inequities, chronic stress and barriers to healthcare access. Within this population, family relationships, particularly intergenerational interactions, significantly influence health behaviours and the management of hypertension remain understudied.

Aim: To explore intergenerational factors influencing hypertension prevention and management among Black older adults, focusing on how family relationships impact health behaviours, knowledge transfer and treatment adherence.

Methods: A discursive paper applying the Transtheoretical Model of Change and Self-Determination Theory as guiding frameworks to examine the role of family dynamics in hypertension management. PubMed, Scopus and Google Scholar were searched for peer-reviewed papers published from 2015 to 2025.

Discussion: The role of family in health behaviours is examined, including the transmission of health knowledge, caregiving dynamics and emotional support. Both barriers and facilitators to effective hypertension management are identified, including cultural beliefs, community resources and the impact of intergenerational role modelling.

Implications for practice: The discussion underscores the need for nurses to adopt family-centred approaches in hypertension management, considering the intergenerational influences on health outcomes. Recommendations for integrating these insights into clinical practice and nursing education are provided.

Conclusion: Understanding the intergenerational context of hypertension management can enhance patient care by improving adherence and prevention strategies. Future research should further explore the role of family in managing hypertension among Black older adults.

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引用次数: 0

Individualisation of Nursing Care: Scientific Evolution up to Date and Towards the Future. 护理的个体化：科学发展到现在和走向未来。

IF 3.4 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-05 DOI: 10.1111/jan.70535

Riitta Suhonen

引用次数: 0

Improving School Vaccinations for Adolescents With Intellectual and Developmental Disabilities: A Person-Centred Approach 改善智力和发育障碍青少年的学校疫苗接种：以人为本的方法

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-04 DOI: 10.1111/jan.70522

Christiane Klinner, Brendan McCormack, Alexandra Young, Christy E. Newman, Tracey Szanto, Deidre Brogan, Allison Carter

This article investigates school vaccination for adolescents with intellectual and developmental disability through the lens of person-centred care principles.

本文通过以人为本的护理原则，调查了智力和发育残疾青少年的学校疫苗接种。

引用次数: 0

How Patients Shape Healthcare: Then, Now and What's to Come? 患者如何塑造医疗保健：过去、现在和未来？

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-04 DOI: 10.1111/jan.70502

G. Tobiano

引用次数: 0

‘Can't Escape’—Survivors' Perspectives and Experiences of Psychological Detachment While Living With a Stoma: A Descriptive Qualitative Study “无法逃脱”-幸存者的观点和经验的心理超脱，而生活在一个口：描述性质的研究

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-03 DOI: 10.1111/jan.70523

Ying Zhou, Rui Xia, Yuxia Lin, Di Tian, Hao Wang, Yuan Yang, Yao Yang, Jinqiong He, Weilin Lin, Jin Li, Meihua Zhong, Xi Su

Aim To explore survivors' perspectives and experiences of psychological detachment while living with a stoma. Design A qualitative descriptive study was conducted. This study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Methods A total of 15 semi‐structured interviews were conducted between February 2024 and May 2024. The phenomenological method proposed by Colaizzi was used to analyze the data. Results Four major themes emerged from the analysis: (1) Trapped in the Persistent Impact of Dual Traumas: Struggles with Adaptation; (2) Trapped by the Unrelenting Burden of Stoma Care: A Cycle of Powerlessness; (3) Trapped by the Shackles of a Stigmatised Identity: The Dilemma of Social Reintegration; and (4) Divergent Pathways of Detachment: Navigating Between Immersion and Transcendence. Within the main themes, eight subthemes were formulated. Conclusion This study thoroughly explored and elucidated the psychological detachment experiences of colorectal cancer survivors with a stoma, revealing its key role in mental health recovery and psychosocial rehabilitation and informing clinical interventions. Implications for Practice The study suggests that healthcare staff should guide survivors in drawing a clear boundary between stoma care and their personal life, encourage any correction of erroneous social cognition, and promote the positive development of psychological detachment among survivors. Impact This study explored the challenges of psychological detachment in stoma survivors, identifying key barriers like trauma, care burden, role misconceptions, and varying detachment levels. The findings can guide healthcare providers in supporting survivors' mental well‐being and inform better survivorship care strategies. Patient or Public Contribution There was no patient or public contribution.

目的探讨生还者在带造口生活时的心理超脱的观点和经历。设计进行定性描述性研究。本研究遵循了报告定性研究的综合标准（COREQ）清单。方法于2024年2月至2024年5月进行15次半结构化访谈。采用Colaizzi提出的现象学方法对数据进行分析。结果：(1)双重创伤的持续影响：与适应的斗争；(2)被无休止的口腔护理负担所困：无力循环；(3)被污名化的身份束缚：重新融入社会的困境(4)分离的不同路径：沉浸与超越之间的导航。在主要主题内，拟定了八个次级主题。结论本研究深入探讨和阐明结直肠癌造口幸存者的心理超脱体验，揭示其在心理健康恢复和社会心理康复中的关键作用，为临床干预提供依据。本研究提示医护人员应引导幸存者在造口护理和个人生活之间划清界限，鼓励纠正错误的社会认知，促进幸存者心理超脱的积极发展。本研究探讨了造口幸存者心理疏离的挑战，确定了创伤、护理负担、角色误解和不同疏离水平等主要障碍。研究结果可以指导医疗保健提供者支持幸存者的心理健康，并为更好的幸存者护理策略提供信息。病人或公众捐款没有病人或公众捐款。

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引用次数: 0

Experiences and Impacts of Working in Organisations Undergoing Regulatory Scrutiny: An Integrative Review 在接受监管审查的组织中工作的经验和影响：综合审查

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-03 DOI: 10.1111/jan.70514

Gemma Stacey, Carmel Bond, Rowena Hill

Aim To explore the experiences of healthcare staff in organisations undergoing regulatory scrutiny and to identify the professional and organisational impact. Design Integrative review. Data Sources Medline, CINAHL, Scopus, and Google Scholar. Review Methods This review followed Whittemore and Knafl's framework, adhering to PRISMA guidelines. Searches identified peer‐reviewed studies from 2010 to 2025 examining healthcare staff under regulatory scrutiny. Studies employing diverse methodologies were included and synthesised using the constant comparison method to identify and refine key themes. Results Eight studies were included. Four interrelated themes were identified: (1) workforce wellbeing, autonomy, and professional identity; (2) regulatory culture, organisational adaptation, and quality improvement; (3) communication and relationships; and (4) impact on patient care and contextual variation. Conclusion Regulatory scrutiny profoundly shapes healthcare quality and professional culture but can unintentionally undermine workforce adaptability and innovation essential for effective care. These findings highlight the need for nursing‐sensitive regulatory approaches that support professional autonomy, reduce burden, and enhance patient‐centred care. Impact This evidence will inform nursing and midwifery policy and practice globally by providing support to inform nuanced, context‐sensitive regulatory approaches that safeguard professional autonomy, reduce administrative burden, and promote safe, person‐centred care across diverse healthcare settings. It will assist policymakers, healthcare leaders, and educators worldwide in enhancing workforce sustainability, patient safety, and care quality, facilitating the transfer of learning to varied healthcare environments and systems. Patient or Public Contribution Not applicable.

目的探讨医疗保健人员在接受监管审查的组织中的经验，并确定专业和组织的影响。设计综合评价。数据来源Medline， CINAHL， Scopus和谷歌Scholar。本综述遵循Whittemore和Knafl的框架，遵循PRISMA指南。检索确定了2010年至2025年在监管审查下检查医护人员的同行评议研究。采用不同方法的研究包括在内，并使用持续比较方法进行综合，以确定和完善关键主题。结果共纳入8项研究。确定了四个相互关联的主题：(1)员工幸福感、自主性和职业认同；(2)监管文化、组织适应和质量改进；(3)沟通和关系；(4)对患者护理的影响和情境差异。监管审查深刻地塑造了医疗质量和专业文化，但可能无意中破坏了有效医疗所必需的劳动力适应性和创新。这些发现强调需要护理敏感的监管方法，以支持专业自主，减轻负担，并加强以患者为中心的护理。这一证据将为全球护理和助产政策和实践提供支持，为细微的、环境敏感的监管方法提供信息，从而保障专业自主权，减轻行政负担，并在不同的医疗保健环境中促进安全的、以人为本的护理。它将帮助世界各地的决策者、卫生保健领导者和教育工作者提高劳动力可持续性、患者安全和护理质量，促进将学习成果转移到各种卫生保健环境和系统中。病人或公众捐款不适用。

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引用次数: 0

Beyond the Technology: Nursing Critically Ill Children on Extracorporeal Organ Support—A Hermeneutic Review of the Literature 超越技术：护理危重儿童的体外器官支持-文献解释学回顾

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-02 DOI: 10.1111/jan.70520

Louie Jhon E. Lunaria

Using advanced forms of medical technology such as extracorporeal organ support to take over organ function in the face of critical illness is a manifestation of the technological expertise to support and prolong life. However, clinician focus on the technical aspects of extracorporeal organ support both in research and clinical practice has the tendency to relegate to the background and disregard multiple, non-technical components such as the meanings, interactions, and experiences of nurses, families and other healthcare professionals.

利用先进的医疗技术形式，如体外器官支持，在面对危重疾病时接管器官功能，是技术专长支持和延长生命的体现。然而，临床医生在研究和临床实践中关注体外器官支持的技术方面，往往会将其置于背景之下，而忽视了多种非技术成分，如护士、家庭和其他医疗保健专业人员的意义、相互作用和经验。

引用次数: 0

The Role of Nurses in General Practice: An Integrative Review 护士在全科实践中的作用：综合评价

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-02 DOI: 10.1111/jan.70519

Asha Beattie, Sue Randall, Ruth Mursa, Elizabeth Halcomb

To synthesise the literature around the roles of general practice nurses (GPNs) and the barriers and facilitators of their role.

综合文献围绕全科护士（gpn）的角色和障碍和促进他们的角色。

引用次数: 0

The Contribution of Nursing to HIV Care and Prevention 护理对艾滋病护理和预防的贡献

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-02 DOI: 10.1111/jan.70526

John P. Gilmore

Conflicts of Interest

The author declares no conflicts of interest.

利益冲突作者声明无利益冲突。

引用次数: 0

Geriatric Models of Surgical Care: A Scoping Review 老年外科护理模式：范围综述

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2026-02-02 DOI: 10.1111/jan.70518

Sarah Hughes, Ut Bui, Clint Douglas, Andrea Taylor

To synthesise literature on hospital-based geriatric models of care for older adults undergoing surgery, examining structures, team composition, governance and nursing contributions.

综合有关以医院为基础的老年人手术护理模式、检查结构、团队组成、管理和护理贡献的文献。

引用次数: 0

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